| Deborra M. Torres, Msn Pmhnp Llc | |
|
5 N Main St Suite A Medford NJ 08055-2439 | |
| (609) 500-4018 | |
| (973) 857-2972 |
| Full Name | Deborra M. Torres, Msn Pmhnp Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5 N Main St, Medford, New Jersey |
| Authorized Official Name and Position | Deborra M Torres (PRESIDENT) |
| Authorized Official Contact | 6095004018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborra M. Torres, Msn Pmhnp Llc 4 Flagstone Dr Shamong NJ 08088-8532 Ph: (609) 500-4018 | Deborra M. Torres, Msn Pmhnp Llc 5 N Main St Suite A Medford NJ 08055-2439 Ph: (609) 500-4018 |
| NPI Number | 1639514946 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Medicare PECOS PAC ID | 0547409054 |
|---|---|
| Medicare Enrollment ID | O20130613000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639514946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 26NR06248100 (New Jersey) | Primary |
| Provider Name | Deborra M Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437351210 PECOS PAC ID: 0941347116 Enrollment ID: I20091020000473 |
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